Mainegeneral Rehab & Long Term Care - Gray Birch - Augusta Nursing Home

General Information

UPDATE
Federal Provider Number
205054
Provider Name
MAINEGENERAL REHAB & LONG TERM CARE - GRAY BIRCH
Provider Address
37 GRAY BIRCH DRIVE
AUGUSTA, ME 4330
Provider Phone Number
2076217100
Provider SSA County
50
Provider County Name
Kennebec
Ownership Type
Non profit - Corporation
Number of Certified Beds
77
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1983-08-25
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.42881
Reported LPN Staffing Hours per Resident per Day
0.16441
Reported RN Staffing Hours per Resident per Day
1.80508
Reported Licensed Staffing Hours per Resident per Day
1.96949
Reported Total Nurse Staffing Hours per Resident per Day
5.39830
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16017
Expected CNA Staffing Hours per Resident per Day
2.47839
Expected LPN Staffing Hours per Resident per Day
0.67348
Expected RN Staffing Hours per Resident per Day
1.13621
Expected Total Nurse Staffing Hours per Resident per Day
4.28808
Adjusted CNA Staffing Hours per Resident per Day
3.39465
Adjusted LPN Staffing Hours per Resident per Day
0.20262
Adjusted RN Staffing Hours per Resident per Day
1.18706
Adjusted Total Nurse Staffing Hours per Resident per Day
5.07454
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
14
Cycle 2 Total Health Score
14
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-06-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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